D'Mello Andre C, Haji Kawa, Moir Stuart, Leong Paul
Monash Heart, Monash Health, Clayton, Victoria, Australia.
Department of Cardiology, Western Health, Melbourne, Australia.
Oxf Med Case Reports. 2019 Jan 1;2019(1):omy049. doi: 10.1093/omcr/omy049. eCollection 2019 Jan.
Platypnea-orthodeoxia syndrome (POS) is a rare condition characterized by dyspnoea and deoxygenation in an upright position that is relieved by supine positioning. There are only five published accounts of it occurring post-lobectomy. We present the case of a 72-year-old male with 3 months of supposedly unexplained dyspnoea after right lower lobectomy for lung cancer who was confirmed to have POS. We highlight the importance of recognition and management as well as provide a brief summary of the pathophysiology.
平卧呼吸-直立性低氧血症综合征(POS)是一种罕见病症,其特征为直立位时出现呼吸困难和脱氧,而仰卧位可缓解。关于肺叶切除术后发生该病症的报道仅有五例。我们报告一例72岁男性病例,其在因肺癌接受右下肺叶切除术后出现了3个月原因不明的呼吸困难,最终确诊为POS。我们强调了识别和处理该病症的重要性,并简要概述了其病理生理学。